Mann M C, Votto J, Kambe J, McNamee M J
University of Connecticut Health Center, Farmington.
Ann Intern Med. 1992 Dec 15;117(12):1042-8. doi: 10.7326/0003-4819-117-12-1042.
To present the case of a Jehovah's Witness with severe anemia and to review the religious philosophy of such patients, the ethical and medicolegal aspects of their care, and the therapeutic options available to clinicians.
A MEDLINE literature search (1980 to 1992) identified most studies. Other studies were selected from the bibliographies of identified articles.
Selection of articles was limited to the history, philosophy, medicolegal and ethical issues, and clinical management of anemic Jehovah's Witnesses; a recent article on recommendations for red cell transfusion was also reviewed.
A clear understanding of the philosophy of the Jehovah's Witnesses regarding blood transfusion and of the medicolegal and ethical aspects of their care is essential to clinicians who care for such patients. One must also be aware of the many alternative therapeutic options that can maximize oxygen delivery and minimize oxygen consumption. The insights gained from this review are applicable to any severely anemic patient who refuses blood transfusion.
介绍一名患有严重贫血的耶和华见证人的病例，并回顾此类患者的宗教理念、其护理的伦理和法医学方面以及临床医生可用的治疗选择。
通过MEDLINE文献检索（1980年至1992年）确定了大多数研究。其他研究则从已识别文章的参考文献中选取。
文章的选择限于贫血的耶和华见证人的病史、理念、法医学和伦理问题以及临床管理；还回顾了一篇关于红细胞输血建议的近期文章。
对于护理此类患者的临床医生而言，清楚了解耶和华见证人关于输血的理念以及其护理的法医学和伦理方面至关重要。还必须意识到许多可最大化氧气输送并最小化氧气消耗的替代治疗选择。从本综述中获得的见解适用于任何拒绝输血的严重贫血患者。
